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Tuesday, August 28, 2012

GYNAECOLOGY & OBSTETRICS :: Rank Order of Topics by Dr. Zaman Khan

RANK ORDER OF TOPICS OF
GYNAECOLOGY & OBSTETRICS
IN ORDER OF IMPORTANCE
FOR SEND UP AND ANNUAL EXAMINATION
PREPARED BY
Dr. M. ZAMAN




OBSTETRICS
1) PHYSIOLOGICAL CHANGES IN PREGNANCY

a. 1ST ORDER
i. Systemic changes (volume homeostasis, blood, cvs)
ii. Endocrinological changes

b. 2ND ORDER
i. Remaining whole chapter (important)

2) ANTENATAL CARE

a. 1ST ORDER
i. Antenatal visits
ii. Antenatal history and examination

3) ANTENATAL IMAGING AND ASSESSMENT OF FETAL WELL BEING

a. 1ST ORDER
i. Diagnostic ultrasound (esp. features during 3rd trimester)
ii. CTG
iii. Biophysical profile scoring

4) PRENATAL DIAGNOSIS

a. 1ST ORDER
i. Diagnosis of down’s syndrome
ii. Comparison of various pre-natal diagnostic procedures

b. 2ND ORDER
i. Neural tube defects
ii. Congenital heart defects


c. 3RD ORDER
i. Remaining chapter

5) ANTENATAL OBSTETRIC COMPLICATIONS

a. 1ST ORDER
i. Hyperemesis gravidarum
ii. APH (placenta previa, abruption placentae)
iii. ECV

b. 2ND ORDER
i. Minor disorders of pregnancy
ii. UTI
iii. Venous thromboembolism
iv. Oligo and Polyhydroamnios
v. Rh iso-immunization

c. 3RD ORDER
i. Abdominal pain in pregnancy

6) TWIN AND MULTIPLE GESTATIONS

a. 1ST ORDER
i. Definition
ii. Classification
iii. Complication

7) DISORDERS OF PLACENTATION

a. 1ST ORDER
i. Placenta previa
ii. Placental apruption
iii. PIH and Eclampsia
iv. IUGR

8) PRETERM LABOUR

a. 1ST ORDER
i. Causes and Management

9) MEDICAL DISORDERS

a. 1ST ORDER
i. Anemia
ii. Thyroid dysfunction


iii. HTN
iv. DM

b. 2ND ORDER
i. Heart disease

c. 3RD ORDER
i. Epilepsy
ii. Perinatal infections (infection screening during pregnancy)

10) NORMAL LABOUR

a. 1ST ORDER
i. Physiology of labour (dimensions)
ii. Definition of 3 stages of labour
iii. Management of all 3 stages of labour (esp. active management)
iv. Partogram

b. 2ND ORDER
i. Mechanism of labour

11) ABNORMAL LABOUR

a. 1ST ORDER
i. Breech presentation
ii. Obstructed labour and fetal distress
iii. The Bishop scoring
iv. Induction of labour
v. Assisted delivery (forceps, ventouse)

b. 2ND ORDER
i. Pain relief in labour and different types of anaesthesia
ii. Episiotomy and C-Section
iii. Deep transverse arrest and transverse lie

c. 3RD ORDER
i. Perineal tears
ii. Shoulder dystocia

12) PUERPERIUM

a. 1ST ORDER
i. PPH
ii. Puerperial pyrexia
b. 2ND ORDER
i. Breast disorders
ii. Post partum psychosis
iii. APGAR score

OBSTETRICS MOST WANTED

1) APH
2) PPH
3) Management of 3rd stage of labour
4) Breech presentation
5) Obstructed labour
6) Pre-eclampsia
7) Anemia and DM in pregnancy
8) Puerperial pyrexia
9) IUGR
10) Systemic changes during pregnancy
11) Obstetric ultrasound
12) Antenatal visits and prenatal diagnosis of down’s syndrome
13) Biophysical profile scoring

GYNAECOLOGY
a. 1ST ORDER
i. Amenorrhoea
ii. Menorrhagia (esp. fibroid uterus)
iii. Infertility
iv. Contraception
v. Abortion (esp. septic abortion)
vi. Endometeriosis and adenomyosis
vii. CA cervix
viii. Ovarial CA
ix. Endometrial CA
x. UV prolapse
xi. Abnormal vaginal discharge
1. Vaginal candidiasis
2. Bacterial vaginosis
3. Trichomoniasis
xii. Post menopausal syndrome and HRT
xiii. Hysterectomy
xiv. D&C
xv. Laproscopic surgery


b. 2ND ORDER
i. Urodynamic stress incontinence
ii. Detrouser over activity
iii. Normal menstrual cycle
iv. Benign tumors of ovary
v. Bartholin cyst and other vaginal cysts
vi. Manchester repair

c. 3RD ORDER
i. Vulval CA



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